Negotiated reimbursement rates for D6250 across 50 states, sourced from CMS Transparency in Coverage data. 692 rate records.
D6250 is the code for a bridge pontic made of resin with high noble metal. This procedure is indicated for patients who require a durable and aesthetically pleasing solution for tooth replacement. Documentation should include the specific tooth number, material details, and clinical notes regarding the patient's dental condition. Reimbursement for D6250 can vary widely depending on the payor and state, with some insurance plans providing better coverage for high noble metal restorations. The average reimbursement for this procedure is approximately $699, but actual payments may differ based on the specifics of the patient's insurance plan and any limitations imposed by the provider.
Reimbursement rates for D6250 vary significantly by state, payor, and provider network. The national average negotiated rate is $699. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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